07-005648PL Department Of Financial Services vs. Odalys Calvo
 Status: Closed
Recommended Order on Thursday, July 24, 2008.


View Dockets  
Summary: Respondent is guilty of completing and submitting three insurance applications knowing that they contained false information and doing so with the intent to defraud the insurer. Recommend revocation.

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8DEPARTMENT OF FINANCIAL SERVICES, )

13)

14Petitioner, )

16)

17vs. ) Case No. 07-5648PL

22)

23ODALYS CALVO, )

26)

27Respondent. )

29__________________________________)

30RECOMMENDED ORDER

32Pursuant to notice, a hearing was conducted in this case

42pursuant to Sections 120.569 and 120.57(1), Florida Statutes, 1

51before Stuart M. Lerner, a duly-designated Administrative Law

59Judge of the Division of Administrative Hearings (DOAH), on

68March 25, 2008, by video teleconference at sites in Miami and

79Tallahassee, Florida.

81APPEARANCES

82For Petitioner: W. Gautier Kitchen, Esquire

88Department of Financial Services

92Division of Legal Services

96612 Larson Building

99200 East Gaines Street

103Tallahassee, Florida 32399-0333

106For Respondent: Odalys Calvo, pro se

1123064 Southwest 156th Place

116Miami , Florida 33185

119STATEMENT OF THE ISSUE

123Whether Respondent committed the violations alleged in the

131Administrative Complaint issued against her and, if so, what

140penalty should be imposed.

144PRELIMINARY STATEMENT

146On November 7, 2007, the Department of Financial Services

155(Department) issued an eleven-count Administrative Complaint

161against Respondent, notifying her that, based on the allegations

170of wrongdoing made therein, it "intend[ed] to enter an Order

180suspending or revoking [her] licenses and appointments as an

189insurance agent or impose such penalties as may be provided

199under [the law]." In the first ten counts of the Administrative

210Complaint, the Department alleged that Respondent willfully and

218knowingly completed and submitted automobile insurance

224applications for ten customers (Blanca Duron (Count I);

232Brisaida Castillo (Count II); Ricardo Fernandez (Count III);

240Pedro Cruz, Sr. (Count IV); Pedro Cruz, Jr. (Count V); Arturo

251Fernandez (Count VI); Diamely Cosio (Count VII); Eulogio

259Martinez (Count VIII); Mariana Ruiz (Count IX); and Flor Miller

269(Count X)) that "contained false addresses of the applicants to

279indicate they resided in a different territory in order to

289obtain lower premium charges[s], thereby defrauding the insurer

297of the premium[s] [to which] it was entitled." In so doing,

308according to the allegations made by the Department in these ten

319counts of the Administrative Complaint, Respondent violated

326Section 626.611(4), (7), (9), and (13), Florida Statutes;

334Section 626.621(2), (3), and (6), Florida Statutes; and Section

343626.9541(1)(k)1, Florida Statutes. The eleventh and final count

351of the Administrative Complaint alleged that, "[a]cting in the

360capacity of president, owner, operator, sole officer, and

368registered agent of O.D.C. Insurance Services, Inc. d/b/a

376Allstate Insurance Agency[,] since on or before September 17,

3862005, [Respondent] failed to have [her] insurance agency

394licensed," in violation of Section 626.112(7)(a), Florida

401Statutes; Section 626.611(13), Florida Statutes; and Section

408626.621(2) and (3), Florida Statutes.

413On or about November 26, 2007, Respondent, through counsel,

422filed a written request for "a proceeding to contest this action

433pursuant to Sections 120.569 and 120.57(1)," Florida Statutes.

441On December 11, 2007, the matter was referred to DOAH. Among

452the documents the Department transmitted to DOAH was a Motion to

463Dismiss Administrative Complaint that it had received from

471Respondent. This motion was denied by the previously assigned

480administrative law judge on January 14, 2008.

487On February 19, 2008, Respondent's counsel of record filed

496a motion seeking permission to withdraw as her counsel. As

506required by Florida Administrative Code Rule 28-106.105(3), a

514copy of the motion was served on Respondent. By order issued

525February 25, 2008 (a copy of which was mailed to Respondent),

536the motion was granted.

540As noted above, the final hearing in this case was held on

552March 25, 2008. 2

556At the outset of the hearing, counsel for the Department

566announced that the Department was voluntarily dismissing Counts

574VI, VII, IX, and X of the Administrative Complaint.

583Eight witnesses testified at the hearing: Blanca Duron;

591Brisaida Castillo; Ricardo Fernandez; Pedro Cruz, Sr.;

598Pedro Cruz, Jr.; Eulogio Martinez; Dania Darbouze; and

606Respondent. In addition to these eight witnesses' testimony, 47

615exhibits (Petitioner's Exhibits 1 through 21, 29 through 32, and

62547 through 69) were offered and received into evidence.

634Upon the unopposed request of Respondent, the deadline for

643the filing of proposed recommended orders was set at 30 days from

655the date of the filing with DOAH of the hearing transcript.

666The hearing Transcript (consisting of one volume) was filed

675with DOAH on April 4, 2008.

681The Department filed its Proposed Recommended Order on

689April 18, 2008.

692On April 28, 2008, Respondent filed a motion requesting an

702extension of time to file her proposed recommended order. In

712her motion, she asserted that she needed the additional time

"722because [she had] been in the hospital since 4-7-08" and would

733remain there indefinitely. On April 30, 2008, the undersigned

742issued an order granting Respondent's motion and giving her

751until May 28, 2008, to file her proposed recommended order.

761On May 27, 2008, Respondent filed a motion seeking a

771further extension of time (of eight months to a year) to file

783her proposed recommended order. She asserted in her motion that

793she needed this additional time "because of the condition in

803[her] personal life." Attached to the motion was a letter,

813dated May 14, 2008, from a physician on the staff at Baptist

825Hospital of Miami. The letter indicated that Respondent had

834given birth prematurely to twins at the hospital on April 19,

8452008; that one of the twins, unfortunately, had passed away on

856April 30, 2008; and that the surviving twin remained in the

867hospital's neonatal intensive care unit in critical condition.

875The letter went on to state that it was "very important for

887[Respondent] to be present with [the surviving twin] at the

897hospital," where he was expected to remain "until at least

907August." On June 2, 2008, the undersigned issued an Order,

917which provided as follows:

921Upon consideration, Respondent is hereby

926granted until Monday, July 14, 2008, to file

934her proposed recommended order. This 47-day

940extension of time should be sufficient to

947enable Respondent to either prepare and file

954her proposed recommended order herself or

960have an attorney or qualified representative

966do so on her behalf. To the extent that

975Respondent is requesting an extension of

981time greater than 47 days, the request is

989denied.

990On July 14, 2008, Respondent filed a pleading she herself

1000prepared. 3 In it, she addressed the merits of the charges

1011against her, claiming that she was "innocent" and that the

1021Department's witnesses had "lie[d] under oath."

1027FINDINGS OF FACT

1030Based on the evidence adduced at hearing, and the record as

1041a whole, the following findings of fact are made:

1050Licensure

10511. Respondent has held a Florida 2-20 general lines

1060(property and casualty) insurance agent license since July 24,

10691998, and a Florida 2-15 life (including variable annuity and

1079health) insurance agent license since August 17, 2005.

1087Facts Common to Counts I through V and VIII

10962. At all times material to Counts I through V and VIII of

1109the Administrative Complaint, Respondent was employed by O. J.

1118Insurance (O. J.), a Miami insurance agency she had previously

1128owned for approximately 15 years before having sold it in

1138January 2003.

11403. Respondent went to work for O. J.'s new owners in or

1152around June 2003.

11554. She remained an employee of the agency for

1164approximately two years.

11675. During this two-year period, Respondent was the only

1176licensed insurance agent at the agency. The agency's two other

1186employees (one of whom was Respondent's sister, Sonia Pupo) held

1196Florida 4-40 customer representative licenses.

12016. Respondent and the agency's two customer

1208representatives were all salaried employees. None of them

1216received a commission.

12197. The agency itself, however, received commissions from

1227the insurance companies whose policies it sold.

12348. Respondent's performance as an employee of the agency

1243was evaluated on an annual basis. Among the factors considered

1253in the evaluation process was Respondent's productivity (that

1261is, the number of insurance policies she sold).

12699. After her first year as an employee of the agency,

1280Respondent received a salary increase based upon the annual

1289evaluation she had received.

1293Facts Relating to Count I

129810. On or about December 30, 2003, Blanca Duron went to

1309O. J., where she purchased automobile insurance from United

1318Automobile Insurance Company (United) through Respondent.

132411. Respondent filled out the insurance application for

1332Ms. Duron.

133412. On the application, Respondent put down that

1342Ms. Duron's address was 5205 Southwest 140th Place, Miami,

1351Florida, knowing that this was not Ms. Duron's correct address.

136113. Ms. Duron actually resided on Southwest 7th Street in

1371Miami.

137214. At no time did she ever tell Respondent that she lived

1384at 5205 Southwest 140th Place, Miami, Florida.

139115. 5205 Southwest 140th Place, Miami, Florida, was in a

"1401territory" having lower insurance rates than the "territory" in

1410which Ms. Duron actually lived.

141516. Respondent's purpose in falsifying Ms. Duron's address

1423on the application was to enable Ms. Duron to pay a lower

1435premium than United would have charged had her correct address

1445been entered on the application.

1450Facts Relating to Count II

145517. On or about December 6, 2004, Brisaida Castillo went

1465to O. J., where she purchased automobile insurance from United

1475through Respondent.

147718. Respondent filled out the insurance application for

1485Ms. Castillo.

148719. Respondent put down on the application that

1495Ms. Castillo's address was 5205 Southwest 140th Place, Miami,

1504Florida, knowing that this was not Ms. Castillo's correct

1513address.

151420. Ms. Castillo actually resided on Northwest 22nd Court

1523in Miami.

152521. At no time did she ever tell Respondent that she lived

1537at 5205 Southwest 140th Place, Miami, Florida.

154422. 5205 Southwest 140th Place, Miami, Florida, was in a

"1554territory" having lower insurance rates than the "territory" in

1563which Ms. Castillo actually lived.

156823. Respondent's purpose in falsifying Ms. Castillo's

1575address on the application was to enable Ms. Castillo to pay a

1587lower premium than United would have charged had her correct

1597address been entered on the application.

1603Facts Relating to Count III

160824. On or about December 10, 2004, Ricardo Fernandez went

1618to O. J., where he purchased automobile insurance from United

1628through Respondent.

163025. Respondent filled out the insurance application for

1638Mr. Fernandez.

164026. Respondent put down on the application that

1648Mr. Fernandez's address was 5205 Southwest 140th Place, Miami,

1657Florida, knowing that this was not Mr. Fernandez's correct

1666address.

166727. Mr. Fernandez actually resided on Essex Avenue in

1676Hialeah, Florida.

167828. At no time did he ever tell Respondent that he lived

1690at 5205 Southwest 140th Place, Miami, Florida.

169729. 5205 Southwest 140th Place, Miami, Florida, was in a

"1707territory" having lower insurance rates than the "territory" in

1716which Mr. Fernandez actually lived.

172130. Respondent's purpose in falsifying Mr. Fernandez's

1728address on the application was to enable Mr. Fernandez to pay a

1740lower premium than United would have charged had his correct

1750address been entered on the application.

1756Facts Relating to Count IV

176131. On or about February 1, 2005, Pedro Cruz, Sr., went to

1773O. J., where he purchased automobile insurance from United.

178232. It is unclear from the record whether it was

1792Respondent or her sister, Ms. Pupo, who filled out Mr. Cruz,

1803Sr.'s insurance application. 4

180733. The application indicated that Mr. Cruz, Sr.'s address

1816was 5205 Southwest 140th Place, Miami, Florida.

182334. This was not his correct address.

183035. He actually resided on Northwest 18th Street in Miami.

184036. At no time did he ever tell Respondent that he lived

1852at 5205 Southwest 140th Place, Miami, Florida.

185937. 5205 Southwest 140th Place, Miami, Florida, was in a

"1869territory" having lower insurance rates than the "territory" in

1878which Mr. Cruz, Sr., actually lived.

188438. Consequently, Mr. Cruz, Sr., paid a lower premium than

1894United would have charged had his correct address been entered

1904on the application.

1907Facts Relating to Count V

191239. On or about December 6, 2004, Pedro Cruz, Jr., went to

1924O. J., where he purchased automobile insurance from United

1933through Respondent.

193540. Respondent filled out the insurance application for

1943Mr. Cruz, Jr.

194641. Respondent put down on the application that Mr. Cruz,

1956Jr.'s address was 5521 Southwest 163rd Court, Miami, Florida. 5

196642. Mr. Cruz, Jr., actually resided on Northwest 18th

1975Street in Miami.

197843. At no time did he ever tell Respondent that he lived

1990at 5521 Southwest 163rd Court, Miami, Florida. 6

1998Facts Relating to Count VIII

200344. On or about February 3, 2005, Eulogio Martinez went to

2014O. J., where he purchased automobile insurance from United

2023through Respondent.

202545. Respondent filled out the insurance application for

2033Mr. Martinez.

203546. Respondent put down on the application that

2043Mr. Martinez's address was 5205 Southwest 142nd Place, Miami,

2052Florida.

205347. Mr. Martinez actually resided on Northwest 5th Street

2062in Miami.

206448. At no time did he ever tell Respondent that he lived

2076at 5205 Southwest 142nd Place, Miami, Florida. 7

2084Facts Relating to Count XI

208949. Since September 2005, O.D.C. Insurance Services, Inc.

2097(O.D.C.) has operated an insurance agency (selling Allstate

2105insurance products) at 13860 Southwest 56th Street in Miami,

2114Florida, for which it has not obtained a license.

212350. During this period of time, Respondent has been owner,

2133sole officer (president), and registered agent of O.D.C. and

2142responsible for the day-to-day operations of O.D.C.'s Allstate

2150insurance agency.

215251. At all times material to Count XI of the

2162Administrative Complaint, Respondent was unaware of the

2169requirement that insurance agencies, such as O.D.C.'s, be

2177licensed.

2178CONCLUSIONS OF LAW

218152. DOAH has jurisdiction over the subject matter of this

2191proceeding and of the parties hereto pursuant to Chapter 120,

2201Florida Statutes.

220353. "Chapters 624-632, 634, 635, 636, 641, 642, 648, and

2213651 constitute the 'Florida Insurance Code.'" § 624.01, Fla.

2222Stat.

222354. It is the Department's responsibility to "enforce the

2232provisions of this code." § 624.307(1), Fla. Stat.

224055. Among the Department's duties is to license and

2249discipline insurance agents.

225256. The Department is authorized to suspend or revoke

2261agents' licenses, pursuant to Sections 626.611 and 626.621,

2269Florida Statutes; to impose fines on agents of up to $500.00 or,

2281in cases where there are "willful violation[s] or willful

2290misconduct," up to $3,500, and to "augment[]" such disciplinary

2300action "by an amount equal to any commissions received by or

2311accruing to the credit of the [agent] in connection with any

2322transaction as to which the grounds for suspension, [or]

2331revocation . . . related," pursuant to Section 626.681, Florida

2341Statutes; to place agents on probation for up to two years,

2352pursuant to Section 626.691, Florida Statutes 8 ; and to order

2362agents "to pay restitution to any person who has been deprived

2373of money by [their] misappropriation, conversion, or unlawful

2381withholding of moneys belonging to insurers, insureds,

2388beneficiaries, or others," pursuant to Section 626.692, Florida

2396Statutes.

239757. The Department may take such disciplinary action

2405against an agent only after the agent has been given reasonable

2416written notice of the charges and an adequate opportunity to

2426request a proceeding pursuant to Sections 120.569 and 120.57,

2435Florida Statutes. See § 120.60(5), Fla. Stat.

244258. An evidentiary hearing must be held, if requested by

2452the agent, when there are disputed issues of material fact.

2462§§ 120.569 and 120.57(1), Fla. Stat.

246859. At the hearing, the Department bears the burden of

2478proving that the agent engaged in the conduct, and thereby

2488committed the violations, alleged in the charging instrument.

2496Proof greater than a mere preponderance of the evidence must be

2507presented for the Department to meet its burden of proof. Clear

2518and convincing evidence of the agent's guilt is required. See

2528Department of Banking and Finance, Division of Securities and

2537Investor Protection v. Osborne Stern and Company , 670 So. 2d 932,

2548935 (Fla. 1996); Beshore v. Department of Financial Services ,

2557928 So. 2d 411, 413 (Fla. 1st DCA 2006); Pou v. Department of

2570Insurance and Treasurer , 707 So. 2d 941 (Fla. 3d DCA 1998); and §

2583120.57(1)(j), Fla. Stat. ("Findings of fact shall be based upon a

2595preponderance of the evidence, except in penal or licensure

2604disciplinary proceedings or except as otherwise provided by

2612statute . . . .").

261860. Clear and convincing evidence is an "intermediate

2626standard," "requir[ing] more proof than a 'preponderance of the

2635evidence' but less than 'beyond and to the exclusion of a

2646reasonable doubt.'" In re Graziano , 696 So. 2d 744, 753 (Fla.

26571997). For proof to be considered "'clear and convincing' . . .

2669the evidence must be found to be credible; the facts to which

2681the witnesses testify must be distinctly remembered; the

2689testimony must be precise and explicit and the witnesses must be

2700lacking in confusion as to the facts in issue. The evidence

2711must be of such weight that it produces in the mind of the trier

2725of fact a firm belief or conviction, without hesitancy, as to

2736the truth of the allegations sought to be established." In re

2747Davey , 645 So. 2d 398, 404 (Fla. 1994), quoting, with approval,

2758from Slomowitz v. Walker , 429 So. 2d 797, 800 (Fla. 4th DCA

27701983); see also In re Adoption of Baby E. A. W. , 658 So. 2d 961,

2785967 (Fla. 1995)("The evidence [in order to be clear and

2796convincing] must be sufficient to convince the trier of fact

2806without hesitancy."). "Although this standard of proof may be

2816met where the evidence is in conflict, . . . it seems to

2829preclude evidence that is ambiguous." Westinghouse Electric

2836Corporation, Inc. v. Shuler Bros., Inc. , 590 So. 2d 986, 988

2847(Fla. 1st DCA 1991).

285161. In determining whether the Department has met its

2860burden of proof, it is necessary to evaluate its evidentiary

2870presentation in light of the specific allegations of wrongdoing

2879made in the charging instrument. Due process prohibits the

2888Department from taking disciplinary action against an agent

2896based on matters not specifically alleged in the charging

2905instrument, unless those matters have been tried by consent.

2914See Trevisani v. Department of Health , 908 So. 2d 1108, 1109

2925(Fla. 1st DCA 2005); Aldrete v. Department of Health, Board of

2936Medicine , 879 So. 2d 1244, 1246 (Fla. 1st DCA 2004); Shore

2947Village Property Owners' Association, Inc. v. Department of

2955Environmental Protection , 824 So. 2d 208, 210 (Fla. 4th DCA

29652002); Cottrill v. Department of Insurance , 685 So. 2d 1371,

29751372 (Fla. 1st DCA 1996); and Delk v. Department of Professional

2986Regulation , 595 So. 2d 966, 967 (Fla. 5th DCA 1992).

299662. The Administrative Complaint in the instant case

3004contains seven remaining counts: six counts (Counts I, II, III,

3014IV, V, and VIII) charging Respondent with violating Section

3023626.611(4), (7), (9), and (13), Florida Statutes; Section

3031626.621(3) and (6), Florida Statutes; and Section

3038626.9541(1)(k)1, Florida Statutes, by willfully and knowingly

3045completing and submitting automobile insurance applications that

"3052contained false addresses of the applicants to indicate they

3061resided in a different territory in order to obtain lower

3071premium charges[s], thereby defrauding the insurer of the

3079premium[s] [to which] it was entitled"; and one count (Count XI)

3090charging Respondent with having "failed to have [her] insurance

3099agency licensed," in violation of Section 626.112(7)(a), Florida

3107Statutes; Section 626.611(13), Florida Statutes; and Section

3114626.621(2) and (3), Florida Statutes.

311963. At all times material to the instant case, Section

3129626.611(4), (7), (9) and (13), Florida Statutes, has provided,

3138in pertinent part, as follows:

3143The department shall . . . suspend [or]

3151revoke . . . the license . . . of

3161any . . . agent . . . , and it shall suspend

3173or revoke the eligibility to hold a

3180license . . . of any such person, if it

3190finds that as to the . . . licensee . . .

3202any one or more of the following applicable

3210grounds exist:

3212* * *

3215(4) If the license . . . is willfully used,

3225or to be used, to circumvent any of the

3234requirements or prohibitions of this code.

3240* * *

3243(7) Demonstrated lack of fitness or

3249trustworthiness to engage in the business of

3256insurance.

3257* * *

3260(9) Fraudulent or dishonest practices in

3266the conduct of business under the

3272license . . . .

3277* * *

3280(13) Willful failure to comply with, or

3287willful violation of, any proper order or

3294rule of the department or willful violation

3301of any provision of this code.

330764. At all times material to the instant case, Section

3317626.621(2), (3) and (6), Florida Statutes, has provided, in

3326pertinent part, as follows:

3330The department may, in its discretion, . . .

3339suspend [or] revoke, . . . the license . . .

3350of any . . . agent . . . , and it may

3362suspend or revoke the eligibility to hold a

3370license . . . of any such person, if it

3380finds that as to the . . . licensee . . .

3392any one or more of the following applicable

3400grounds exist under circumstances for which

3406such . . . suspension [or] revocation . . .

3416is not mandatory under s. 626.611:

3422* * *

3425(2) Violation of any provision of this code

3433or of any other law applicable to the

3441business of insurance in the course of

3448dealing under the license or appointment.

3454* * *

3457(3) Violation of any lawful order or rule

3465of the department, commission, or office.

3471* * *

3474(6) In the conduct of business under the

3482license or appointment, engaging in unfair

3488methods of competition or in unfair or

3495deceptive acts or practices, as prohibited

3501under part IX of this chapter, or having

3509otherwise shown himself or herself to be a

3517source of injury or loss to the public.

352565. Among the "unfair methods of competition" and "unfair

3534or deceptive acts or practices, as prohibited under part IX of

3545[Chapter 626, Florida Statutes]" (referenced in Section

3552626.621(6), Florida Statutes) are those described in Section

3560626.9541(1)(k)1., Florida Statutes, which provides as follows:

3567UNFAIR METHODS OF COMPETITION AND UNFAIR OR

3574DECEPTIVE ACTS. --The following are defined

3580as unfair methods of competition and unfair

3587or deceptive acts or practices:

3592Misrepresentation in insurance applications.

3596Knowingly making a false or fraudulent

3602written or oral statement or representation

3608on, or relative to, an application or

3615negotiation for an insurance policy for the

3622purpose of obtaining a fee, commission,

3628money, or other benefit from any insurer,

3635agent, broker, or individual.

363966. Section 626.112(7)(a), Florida Statutes, provides as

3646follows:

3647Effective October 1, 2006, no individual,

3653firm, partnership, corporation, association,

3657or any other entity shall act in its own

3666name or under a trade name, directly or

3674indirectly, as an insurance agency, unless

3680it complies with s. 626.172 with respect to

3688possessing an insurance agency license for

3694each place of business at which it engages

3702in any activity which may be performed only

3710by a licensed insurance agent. Each agency

3717engaged in business in this state before

3724January 1, 2003, which is wholly owned by

3732insurance agents currently licensed and

3737appointed under this chapter, each

3742incorporated agency whose voting shares are

3748traded on a securities exchange, each agency

3755designated and subject to supervision and

3761inspection as a branch office under the

3768rules of the National Association of

3774Securities Dealers, and each agency whose

3780primary function is offering insurance as a

3787service or member benefit to members of a

3795nonprofit corporation may file an

3800application for registration in lieu of

3806licensure in accordance with s. 626.172(3).

3812Each agency engaged in business before

3818October 1, 2006, shall file an application

3825for licensure or registration on or before

3832October 1, 2006.

38351. If an agency is required to be licensed

3844but fails to file an application for

3851licensure in accordance with this section,

3857the department shall impose on the agency an

3865administrative penalty in an amount of up to

3873$10,000.

38752. If an agency is eligible for

3882registration but fails to file an

3888application for registration or an

3893application for licensure in accordance with

3899this section, the department shall impose on

3906the agency an administrative penalty in an

3913amount of up to $5,000.

391967. Because they are penal in nature, the foregoing

3928statutory provisions must be strictly construed, with any

3936reasonable doubts as to their meaning being resolved in favor of

3947the licensee. See Beckett v. Department of Financial Services ,

3956982 So. 2d 94, 100 (Fla. 1st DCA 2008)("[A]gencies are not

3968permitted to extend the requirements of [penal] statutes by

3977construction."); and Capital National Financial Corporation v.

3985Department of Insurance , 690 So. 2d 1335, 1337 (Fla. 3rd DCA

39961997)("Section 627.8405 is a penal statute and therefore must be

4007strictly construed . . . . 'When a statute imposes a penalty,

4019any doubt as to its meaning must be resolved in favor of a

4032strict construction so that those covered by the statute have

4042clear notice of what conduct the statute proscribes.'").

405168. An examination of the evidentiary record in this case

4061reveals that the Department clearly and convincingly proved that

4070Respondent violated Section 626.611(4), (7), (9), and (13),

4078Florida Statutes; Section 626.621(2), (3), and(6), Florida

4085Statutes; and Section 626.9541(1)(k)1, Florida Statutes, as

4092alleged in Counts I through III of the Administrative Complaint,

4102by willfully and knowingly completing and submitting automobile

4110insurance applications for Ms. Duron (Count I), Ms. Castillo

4119(Count II), and Mr. Fernandez (Count III) that "contained false

4129addresses of the applicants to indicate they resided in a

4139different territory in order to obtain lower premium charges[s],

4148thereby defrauding the insurer of the premium[s] [to which] it

4158was entitled."

416069. The Department failed to prove by clear and convincing

4170evidence that Respondent was the insurance agency employee who

4179completed and submitted Mr. Cruz, Sr.'s automobile insurance

4187application, as alleged in Count IV of the Administrative

4196Complaint. Accordingly, Count IV of the Administrative

4203Complaint (which is predicated upon the factual allegation that

4212Respondent had engaged in such conduct) must be dismissed. 9

422270. While record evidence establishes that Respondent

4229completed and submitted automobile insurance applications for

4236Mr. Cruz, Jr., and Mr. Martinez that "contained false

4245addresses," there is not clear and convincing proof that she did

4256so willfully and knowingly with the intent to defraud United, as

4267alleged in Counts V and VIII of the Administrative Complaint.

4277Accordingly, these counts of the Administrative Complaint must

4285too be dismissed.

428871. The Department also failed to establish Respondent's

4296guilt of the violations alleged in Count XI of the

4306Administrative Complaint. Although the Department's proof

4312clearly and convincingly established that O.D.C.'s Allstate

4319insurance agency has failed to obtain an insurance agency

4328license in violation of Section 626.112(7)(a), Florida Statutes,

4336it is the "agency" (that is, O.D.C., the corporate entity), not

4347Respondent, that is liable for this violation under the statute.

4357That Respondent has been, at all material times, the owner, sole

4368officer (president), and registered agent of O.D.C. and

4376responsible for its day-to-day operations is, standing alone, an

4385insufficient basis upon which to impose liability upon

4393Respondent. See Gasparini v. Pordomingo , 972 So. 2d 1053, 1055

4403(Fla. 3d DCA 2008)("A general principle of corporate law is that

4415a corporation is a separate legal entity, distinct from the

4425persons comprising them. To 'pierce the corporate veil' three

4434factors must be proven: (1) the shareholder dominated and

4443controlled the corporation to such an extent that the

4452corporation's independent existence, was in fact non-existent

4459and the shareholders were in fact alter egos of the corporation;

4470(2) the corporate form must have been used fraudulently or for

4481an improper purpose; and (3) the fraudulent or improper use of

4492the corporate form caused injury to the claimant. In this case,

4503none of these factors were alleged or proven. Moreover, the

4513mere fact that Gasparini is a stockholder and officer of

4523International Trading does not, without more, create personal

4531liability. The law is clear that the mere ownership of a

4542corporation by a few shareholders, or even one shareholder, is

4552an insufficient reason to pierce the corporate veil. '[E]ven if

4562a corporation is merely an alter ego of its dominant shareholder

4573or shareholders, the corporate veil cannot be pierced so long as

4584the corporation's separate identity was lawfully

4590maintained.'")(citations omitted). Accordingly, Count XI of the

4598Administrative Complaint must be dismissed.

460372. To determine the penalty the Department should impose

4612on Respondent for committing the violations alleged in Counts I

4622through III of the Administrative Complaint , it is necessary to

4632consult the Department's "penalty guidelines" set forth in

4640Florida Administrative Code Rule Chapter 69B-231, which impose

4648restrictions and limitations on the exercise of the Department's

4657disciplinary authority. See Parrot Heads, Inc. v. Department of

4666Business and Professional Regulation , 741 So. 2d 1231, 1233

4675(Fla. 5th DCA 1999)("An administrative agency is bound by its

4686own rules . . . creat[ing] guidelines for disciplinary

4695penalties."); cf . State v. Jenkins , 469 So. 2d 733, 734 (Fla.

47081985)("[A]gency rules and regulations, duly promulgated under

4716the authority of law, have the effect of law."); Buffa v.

4728Singletary , 652 So. 2d 885, 886 (Fla. 1st DCA 1995)("An agency

4740must comply with its own rules."); Decarion v. Martinez , 537 So.

47522d 1083, 1084 (Fla. 1st 1989)("Until amended or abrogated, an

4763agency must honor its rules."); and Williams v. Department of

4774Transportation , 531 So. 2d 994, 996 (Fla. 1st DCA 1988)(agency

4784is required to comply with its disciplinary guidelines in taking

4794disciplinary action against its employees).

479973. Florida Administrative Code Rule 69B-231.040 explains

4806how the Department goes about "[c]alculating [a] penalty." It

4815provides as follows:

4818(1) Penalty Per Count.

4822(a) The Department is authorized to find

4829that multiple grounds exist under Sections

4835626.611 and 626.621, F.S., for disciplinary

4841action against the licensee based upon a

4848single count in an administrative complaint

4854based upon a single act of misconduct by a

4863licensee. However, for the purpose of this

4870rule chapter, only the violation specifying

4876the highest stated penalty will be

4882considered for that count. The highest

4888stated penalty thus established for each

4894count is referred to as the "penalty per

4902count".

4904(b) The requirement for a single highest

4911stated penalty for each count in an

4918administrative complaint shall be applicable

4923regardless of the number or nature of the

4931violations established in a single count of

4938an administrative complaint.

4941(2) Total Penalty. Each penalty per count

4948shall be added together and the sum shall be

4957referred to as the "total penalty".

4964(3) Final Penalty.

4967(a) The final penalty which will be imposed

4975against a licensee under these rules shall

4982be the total penalty, as adjusted to take

4990into consideration any aggravating or

4995mitigating factors;

4997(b) The Department may convert the total

5004penalty to an administrative fine and

5010probation if the licensee has not previously

5017been subjected to an administrative penalty

5023and the current action does not involve a

5031violation of Section 626.611, F.S.;

5036(c) The Department will consider the

5042factors set forth in rule subsection 69B-

5049231.160(1), F.A.C., in determining whether

5054to convert the total penalty to an

5061administrative fine and probation.

5065(d) In the event that the final penalty

5073would exceed a suspension of twenty-four

5079(24) months, the final penalty shall be

5086revocation.

508774. Florida Administrative Code Rule 69B-231.080 is

5094entitled, "Penalties for Violation of Section 626.611." It

5102provides, in pertinent part, as follows:

5108If it is found that the licensee has

5116violated any of the following subsections of

5123Section 626.611, F.S., for which compulsory

5129suspension or revocation . . . is required,

5137the following stated penalty shall apply:

5143* * *

5146(4) Section 626.611(4), F.S. - suspension 6

5153months

5154* * *

5157(7) Section 626.611(7), F.S. - suspension 6

5164months

5165* * *

5168(9) Section 626.611(9), F.S. - suspension 9

5175months

5176* * *

5179(13) Section 626.611(13), F.S. - suspension

51856 months

518775. Florida Administrative Code Rule 69B-231.090 is

5194entitled, "Penalties for Violation of Section 626.621." It

5202provides, in pertinent part, as follows:

5208If it is found that the licensee has

5216violated any of the following subsections of

5223Section 626.621, F.S., for which suspension

5229or revocation of license(s) and

5234appointment(s) is discretionary, the

5238following stated penalty shall apply:

5243* * *

5246(2) Section 626.621(2), F.S. - suspension 3

5253months

5254(3) Section 626.621(3), F.S. - suspension 3

5261months

5262* * *

5265(6) Section 626.621(6), F.S. - see Rule

527269B-231.100, F.A.C.

527476. Florida Administrative Code Rule 69B-231.100 is

5281entitled, "Penalties for Violation of Subsection 626.621(6)."

5288It provides, in pertinent part, as follows:

5295If a licensee is found to have violated

5303subsection 626.621(6), F.S., by engaging in

5309unfair methods of competition or in unfair

5316or deceptive acts or practices as defined in

5324any of the following paragraphs of

5330subsection 626.9541(1), F.S., the following

5335stated penalty shall apply:

5339* * *

5342(11) Section 626.9541(1)(k), F.S. -

5347suspension 9 months

535077. In the instant case, the "penalty per count" for each

5361of Counts I through III of the Administrative Complaint is a

5372nine-month suspension, making the "total penalty" a 27-month

5380suspension.

538178. The "aggravating/mitigating factors" that must be

5388considered to determine whether any "adjust[ment]" should be

5396made to this "total penalty" are set forth in Florida

5406Administrative Code Rule 69B-231.160, which provides, in

5413pertinent part, as follows:

5417The Department shall consider the following

5423aggravating and mitigating factors and apply

5429them to the total penalty in reaching the

5437final penalty assessed against a licensee

5443under this rule chapter. After

5448consideration and application of these

5453factors, the Department shall, if warranted

5459by the Department's consideration of the

5465factors, either decrease or increase the

5471penalty to any penalty authorized by law.

5478(1) For penalties other than those assessed

5485under Rule 69B-231.150, F.A.C.:

5489(a) Willfulness of licensee's conduct;

5494(b) Degree of actual injury to victim;

5501(c) Degree of potential injury to victim;

5508(d) Age or capacity of victim;

5514(e) Timely restitution;

5517(f) Motivation of licensee;

5521(g) Financial gain or loss to licensee;

5528(h) Cooperation with the Department;

5533(i) Vicarious or personal responsibility;

5538(j) Related criminal charge; disposition;

5543(k) Existence of secondary violations in

5549counts;

5550(l) Previous disciplinary orders or prior

5556warning by the Department; and

5561(m) Other relevant factors.

556579. Examining the evidentiary record in the instant case

5574in light of these "aggravating/mitigating factors" results in

5582the conclusion that a decrease of the "total penalty" (which is

5593a suspension in excess of 24 months) is not warranted.

560380. Accordingly, the "final penalty" in the instant case,

5612pursuant to Florida Administrative Code Rule 69B-231.040(3)(d),

5619is the revocation of Respondent's licenses.

5625RECOMMENDATION

5626Based upon the foregoing Findings of Fact and Conclusions

5635of Law, it is hereby

5640RECOMMENDED that the Department issue a Final Order finding

5649Respondent guilty of the violations alleged in Counts I through

5659III of the Administrative Complaint, revoking her licenses for

5668having committed these violations, and dismissing the remaining

5676counts of the Administrative Complaint.

5681DONE AND ENTERED this 24th day of July, 2008, in

5691Tallahassee, Leon County, Florida.

5695S

5696___________________________________

5697STUART M. LERNER

5700Administrative Law Judge

5703Division of Administrative Hearings

5707The DeSoto Building

57101230 Apalachee Parkway

5713Tallahassee, Florida 32399-3060

5716(850) 488-9675 SUNCOM 278-9675

5720Fax Filing (850) 921-6847

5724www.doah.state.fl.us

5725Filed with the Clerk of the

5731Division of Administrative Hearings

5735this 24th day of July, 2008.

5741ENDNOTES

57421 / Unless otherwise noted, all references in this Recommended

5752Order to Florida Statutes are to Florida Statutes (2007).

57612 / The hearing was originally scheduled for February 14, 2008,

5772but was continued at Respondent's request.

57783 / Respondent explained in the pleading that she had not been

5790able to retain an attorney due to lack of funds.

58004 / At the final hearing, Mr. Cruz, Sr., gave internally

5811conflicting testimony on the matter.

58165 / In its Proposed Recommended Order, the Department asks the

5827undersigned to make a finding of fact that "Sonia Pupo resides

5838at 5521 Southwest 163rd Court in Miami, Florida." The only

5848record evidence concerning Ms. Pupo's residence --a printout of

5857the result of a November 16, 2006 www.whitepages.com search

5866showing that she resided at that address-- constitutes hearsay

5875evidence. Inasmuch as it has not been shown that this evidence

5886would have been admissible over objection in a civil proceeding

5896in Florida (under Section 90.803(17), Florida Statutes, or any

5905other exception to the rule excluding hearsay evidence), it is

5915insufficient to support a finding of fact in this administrative

5925proceeding. See § 120.57(1)(c)("Hearsay evidence may be used

5934for the purpose of supplementing or explaining other evidence,

5943but it shall not be sufficient in itself to support a finding

5955unless it would be admissible over objection in civil

5964actions."). Moreover, this evidence only addresses Ms. Pupo's

5973residency as of the date of the www.whitepages.com search--

5982November 16, 2006.

59856 / The evidentiary record does not support a finding that 5521

5997Southwest 163rd Court, Miami, Florida, was in a "territory"

6006having lower insurance rates than the "territory" in which

6015Mr. Cruz, Jr., actually lived.

60207 / The evidentiary record does not support a finding that 5205

6032Southwest 14 2 nd Place, Miami, Florida, was in a "territory"

6043having lower insurance rates than the "territory" in which

6052Mr. Martinez actually lived.

60568 / The Department may impose a fine or place an agent on

6069probation "in lieu of" suspension or revocation of the agent's

6079license " except on a second offense or when . . . suspension

6091[or] revocation . . . is mandatory." §§ 626.681 and 626.691,

6102Fla. Stat.

61049 / The Department suggests in its Proposed Recommended Order

6114that Respondent can be held responsible for any wrongdoing

6123engaged in by her sister and the agency's other customer

6133representative in completing and processing insurance

6139applications, apparently relying on Section 626.7354(5), Florida

6146Statutes, which provides that "[a]ll business transacted by a

6155customer representative under his or her license shall be in the

6166name of the agent or agency by which he or she is appointed, and

6180the agent or agency shall be responsible and accountable for all

6191acts of the customer representative within the scope of such

6201appointment." Such a theory, however, cannot support a finding

6210of guilt in the instant case inasmuch as it was not advanced in

6223the Administrative Complaint. See Department of Insurance and

6231Treasurer v. Gottlieb , No. 92-1902, 1993 Fla. Div. Adm. Hear.

6241LEXIS 5893 *6 (Fla. DOAH 1993)(Recommended Order)("Agencies

6249cannot take disciplinary action against a licensee on the basis

6259of facts not alleged in the Administrative Complaint on or the

6270basis of legal theories not asserted in the Administrative

6279Complaint.").

6281COPIES FURNISHED :

6284W. Gautier Kitchen, Esquire

6288Department of Financial Services

6292Division of Legal Services

6296612 Larson Building

6299200 East Gaines Street

6303Tallahassee, Florida 32399-0333

6306Odalys Calvo,

63083064 Southwest 156th Place

6312Miami , Florida 33185

6315Honorable Alex Sink

6318Chief Financial Officer

6321Department of Financial Services

6325The Capitol, Plaza Level 11

6330Tallahassee, Florida 32399-0300

6333Daniel Sumner, General Counsel

6337Department of Financial Services

6341The Capitol, Plaza Level 11

6346Tallahassee, Florida 32399-0307

6349NOTICE OF RIGHT TO SUBMIT EXCEPTIONS

6355All parties have the right to submit written exceptions within

636515 days from the date of this Recommended Order. Any exceptions

6376to this Recommended Order should be filed with the agency that

6387will issue the Final Order in this case.

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 09/18/2008
Proceedings: Final Order filed.
PDF:
Date: 09/17/2008
Proceedings: Agency Final Order
PDF:
Date: 07/24/2008
Proceedings: Recommended Order
PDF:
Date: 07/24/2008
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 07/24/2008
Proceedings: Recommended Order (hearing held March 25, 2008). CASE CLOSED.
PDF:
Date: 07/14/2008
Proceedings: Letter to Judge Lerner from O. Abad regarding request for extension of time filed.
PDF:
Date: 06/02/2008
Proceedings: Order Granting Extension of Time (proposed recommended to be filed by July 14, 2008).
PDF:
Date: 05/27/2008
Proceedings: Letter to Judge Lerner from O. Castillo regarding request for extension of time filed.
PDF:
Date: 04/30/2008
Proceedings: Order Granting Extension of Time (Respondent shall file her proposed recommended order by May 28, 2008).
PDF:
Date: 04/28/2008
Proceedings: Notice of Ex-parte Communication.
PDF:
Date: 04/28/2008
Proceedings: Letter to Judge Sartin from O. Calvo regarding request for time filed.
PDF:
Date: 04/18/2008
Proceedings: Petitioner`s Proposed Recommended Order filed.
Date: 04/04/2008
Proceedings: Transcript of Proceedings filed.
Date: 03/25/2008
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 03/20/2008
Proceedings: Petitioner`s Exhibit List (exhibits not available for viewing) filed.
PDF:
Date: 02/25/2008
Proceedings: Order Granting Defendant`s [sic] Counsel [sic] Motion to Withdraw.
PDF:
Date: 02/19/2008
Proceedings: Defendant`s Counsel Motion to Withdraw filed.
PDF:
Date: 01/24/2008
Proceedings: Joint Request for Continuance filed.
PDF:
Date: 01/23/2008
Proceedings: Order Granting Continuance and Re-scheduling Hearing by Video Teleconference (hearing set for March 25, 2008; 9:30 a.m.; Miami and Tallahassee, FL).
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Blanca Duran filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Brisaida Castillo filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Ricardo Fernandez filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Pedro Cruz filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Arturo Fernandez filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Diamely Cosio filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Eulogio Martinez filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Pedro Cruz filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Marianna Ruiz filed.
PDF:
Date: 01/16/2008
Proceedings: Notice of Taking Deposition of Flor Miller filed.
PDF:
Date: 01/14/2008
Proceedings: Order Denying Motion to Dismiss Administrative Complaint.
PDF:
Date: 01/09/2008
Proceedings: Interrogatories filed.
PDF:
Date: 01/09/2008
Proceedings: Request for Production filed.
PDF:
Date: 01/09/2008
Proceedings: Respondent`s Request for Continuance filed.
PDF:
Date: 12/27/2007
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 12/27/2007
Proceedings: Notice of Hearing by Video Teleconference (hearing set for February 14, 2008; 9:30 a.m.; Miami and Tallahassee, FL).
PDF:
Date: 12/17/2007
Proceedings: Petitioner`s Response to Initial Order filed.
PDF:
Date: 12/12/2007
Proceedings: Initial Order.
PDF:
Date: 12/11/2007
Proceedings: Administrative Complaint filed.
PDF:
Date: 12/11/2007
Proceedings: Motion to Dismiss Administrative Complaint filed.
PDF:
Date: 12/11/2007
Proceedings: Notice of Appearance and Election of Proceeding (filed by E. Belaval).
PDF:
Date: 12/11/2007
Proceedings: Agency referral filed.

Case Information

Judge:
STUART M. LERNER
Date Filed:
12/11/2007
Date Assignment:
03/20/2008
Last Docket Entry:
09/18/2008
Location:
Miami, Florida
District:
Southern
Agency:
ADOPTED IN TOTO
Suffix:
PL
 

Counsels

Related DOAH Cases(s) (1):

Related Florida Statute(s) (16):

Related Florida Rule(s) (7):